Question Suture removal, Medicare

lsnowden

New
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Location
Goshen, MA
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Is it okay to bill this to Medicare for an Urgent care visit?

S61.011D - Laceration without foreign body of right thumb without damage to nail, subsequent encounter
Z48.02 - Encounter for removal of sutures
99212 – E&M established pt.



my information states that:

Medicare includes the following services in the global surgery payment when provided in addition to the surgery:
• Miscellaneous services, such as dressing changes, local incision care, removal of operative pack, removal of cutaneous sutures and staples, lines, wires, tubes, drains, casts, and splints; insertion, irrigation, and removal of urinary catheters, routine peripheral intravenous lines, nasogastric and rectal tubes; and changes and removal of tracheostomy tubes

but since 12001 has no global days (000) Do you think this is okay to bill?

Medicare paid and left $35 copay for pt.
 

mitchellde

True Blue
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13,505
Location
Columbia, MO
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2
Remove the z48.02. You do not use aftercare Z code for injury and trauma only the injury code with the D or S is needed for aftercare. Otherwise you should be fine with 0 global days.
 
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